AI Article Synopsis
- The study aims to identify factors in the medical home model that lead to disparities in care for vulnerable children.
- The analysis of the 2007 National Survey of Children's Health revealed that children with special health care needs often lack necessary care coordination compared to their peers.
- Disparities among other groups, such as racial and language minorities, stem from insufficient family-centered care, highlighting the need for tailored medical home strategies for different populations.
Article Abstract
Objective: To identify components of the medical home that contribute to medical home disparities for vulnerable children.
Methods: Cross-sectional analysis of 2007 National Survey of Children's Health. Prevalence of components of the medical home were estimated by special health care needs (SHCN), race/ethnicity, primary language, and health insurance.
Results: Medical home disparities for children with SHCN were driven by differences in getting help with care coordination, when needed (71% vs. 91% children without SHCN, p<.001). Medical home disparities for other groups were largely attributable to less family-centered care (Hispanic 49% and African American 55% vs. White 77%, p<.001; non-English primary language 37% vs. English 72%, p<.001; uninsured 45% and publicly insured 57% vs. privately insured 75%, p<.001).
Conclusions: The components of the medical home that contribute to medical home disparities differ between groups of vulnerable children. Medical home implementation may benefit from focusing on the specific needs of target populations.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4136422 | PMC |
| http://dx.doi.org/10.1353/hpu.2013.0117 | DOI Listing |
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